家庭延伸护理在孤独症患儿中的应用效果

Application effects of family extended nursing in children with autism

目的:观察家庭延伸护理在孤独症患儿中的应用效果。方法:回顾性分析2022年1-12月该院收治的150例孤独症患儿的临床资料,按护理方式的不同将其分成研究组(n=75)与对照组(n=75)。对照组给予常规护理,研究组在对照组基础上给予家庭延伸护理,比较两组病情严重程度[孤独症行为量表(ABC)、儿童孤独症评定量表(CARS)]、智商[中国-韦氏患儿智力量表(C-WISC)]水平、发育情况[格里菲斯发育评估量表中文版(GDS-C)]评分和家长护理满意度。结果:护理后,两组ABC、CARS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组操作智商、言语智商、全量表智商等C-WISC评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组听力语言、手眼协调、视觉表现、粗大运动、实际推理、个人-社会等GDS-C评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组家长护理满意度为97.33%(73/75),高于对照组的88.00%(66/75),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用家庭延伸护理可提高孤独症患儿C-WISC评分、GDS-C评分和家长护理满意度,以及降低病情严重程度评分的效果优于单纯常规护理。

Objective:To observe application effects of family extended nursing in children with autism.Methods:The clinical data of 150 children with autism admitted to this hospital from January to December 2022 were retrospectively analyzed.According to the different nursing methods,they were divided into study group(n=75)and control group(n=75).The control group was given routine nursing,while the study group was given family extended nursing on the basis of that of the control group.The severity of the disease[autism behavior checklist(ABC),the childhood autism rating scale(CARS)],the intelligence quotient level[Chinese-Wechsler intelligence scale for children(C-WISC)],the development[Griffith developmental scale-Chinese edition(GDS-C)]score,and the parental nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of ABC and CARS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the C-WISC scores of operational intelligence,verbal intelligence,and full-scale intelligence in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GDS-C scores of hearing language,hand-eye coordination,visual performance,gross motor,practical reasoning and personal-social in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the parental nursing satisfaction in the study group was 97.33%(73/75),which was higher than 88.00%(66/75)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the family extended nursing can improve the C-WISC scores,the GDS-C scores and the parental nursing satisfaction of the autistic children,and reduce the severity scores of the disease.Moreover,it is superior to simple routine nursing.